Individual
MS. ELIZABETH MAXINE BASINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 BELLA GROVE DR, GREENVILLE, SC 29607-3459
(864) 603-5600
Mailing address
2 BELLA GROVE DR, GREENVILLE, SC 29607-3459
(864) 603-5600
(978) 665-3641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4826
SC
363A00000X
Physician Assistant
PA463
MA
Other
Enumeration date
03/08/2010
Last updated
04/26/2024
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